Fundamentals Test 2 Prep U Urinary Elimination

A nurse is caring for an elderly adult client admitted to the hospital from a nursing home because of a change in behavior. The client has a diagnosis of Alzheimer's disease and has started to experience episodes of incontinence. The hospital staff is having difficulty with toileting because the client wanders around the unit all day. To assist with elimination, a nurse should: A. incorporate the client's toileting schedule into the pattern of his wandering. B. ask the physician to order sedation to allow the client to rest. C. ask the physician to order restraints to prevent wandering. D. have the client wear two briefs at a time to ensure absorption of incontinent urine. - A. A confused client with carbon monoxide poisoning experiences dizziness when ambulating to the bathroom. The nurse should: A. put all four side rails up on the bed. B. ask the unlicensed assistive personnel (UAP) to place restraints on the client's upper extremities. C. request that the client's roommate put the call light on when the client is attempting to get out of bed. D. check on the client at regular intervals to ascertain the need to use the bathroom. - D. A client is to be discharged from same-day surgery 7 hours after his inguinal hernia repair. Which nursing observation indicates this client is ready to be discharged? A. The client voids 500 mL of urine. B. The client tolerates eating a hamburger. C. The client is pain free. D. The client walks in the hallway unassisted. - A. After teaching the parents about the urethral catheter placed after surgical repair of their son's hypospadias, the nurse determines that the teaching was successful when the mother states that the catheter in her child's penis accomplishes which goal? A. decreases pain at the surgical site B. keeps the new urethra from closing C. measures his urine correctly D. prevents bladder spasms - B. Using Abraham Maslow's hierarchy of human needs, the nurse assigns highest priority to which client need? A. Arranging a visit from a support group member B. Inserting a Foley catheter C. Raising the side rails on the client's bed D. Placing the client in a double room with another client the same age - B. Which question should the nurse ask first when obtaining a history from the mother of a 10-year-old child with a fever, reports of not feeling well, and swelling around the eyes? A. "Has the child had a sore throat recently?" B. "Is the child playing with friends as usual?" C. "Does the child urinate as much as usual?" D. "Is the urine pale in color?" - C. A pregnant client in her third trimester asks why she needs to urinate frequently again, as she did during the first trimester. What should the nurse tell her? A. This symptom is abnormal during the third trimester and may indicate a urinary tract infection. B. This symptom is a normal variation and is easily managed by limiting fluid intake. C. This symptom is normal and results from the fetus exerting pressure on the bladder. D. This symptom is abnormal and should subside after the presenting part of the fetus is engaged. - C. A nurse is caring for an 8-year-old girl with multiple chronic urinary tract infections. The child's parents appear protective, never leaving their daughter's side. While the nurse helps the child's mother provide morning care, the child states, "My uncle doesn't clean me that way." Her mother becomes visibly upset and gives the girl a stern warning not to discuss the matter. She states, "Don't tell anyone about that again." The nurse has a legal responsibility to: A. notify the nursing supervisor and the authorities of the possibility of abuse. B. offer to clean the child the way her uncle does. C. leave the room so the mother and daughter can have privacy. D. note on the child's chart that the mother is overprotective. - A. A registered nurse and a nursing assistant are caring for a group of clients. Which client's care may safely be delegated to the nursing assistant? A. A client who underwent surgery 12 hours ago whose suprapubic catheter is draining burgundy-colored urine B. A client with uncontrolled diabetes mellitus who underwent radical suprapubic prostatectomy 1 day ago and has an indwelling urinary catheter draining yellow urine with clots C. A client diagnosed with renal calculi who must ambulate four times daily and drink plenty of fluids. D. A client who requires neurological assessment every 4 hours after sustaining a spinal cord injury in a motor vehicle accident that left him with paraplegia - C. The primary reason for lubricating the urinary catheter generously before inserting it into a male client is that this technique helps reduce: A. apasms at the orifice of the bladder. B. friction along the urethra when the catheter is being inserted. C. the number of organisms gaining entrance to the bladder. D. the formation of encrustations that may occur at the end of the catheter. - B. When teaching a primigravid client how to do Kegel exercises, the nurse explains that the expected outcome of these exercises is to: A. reduce risk of hemorrhoids. B. alleviate lower back discomfort. C. strengthen the perineal muscles. D. strengthen the abdominal muscles. - C.